Continuing the debate: Cognitive enhancement therapy for mood disorders.
Continuing the debate: Cognitive enhancement therapy for mood disorders.
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DOI：
10.1111/bdi.12919
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发表时间：
2020-08
影响因子：
5.4
通讯作者：
Hammar Å
中科院分区：
文献类型：
--
作者：
Douglas KM;Peckham AD;Porter RJ;Hammar Å
我们最近发表了一篇关于情绪障碍的认知干预主题的辩论文章(1)，引起了该领域专家的兴趣，包括我们许多受人尊敬的同事（2,3）。正如Burdick等人(2)所指出的那样，我们很欣赏全世界正在进行的新颖而重要的研究，以解决情绪障碍中持续存在的认知障碍问题。因此，对这一领域的问题进行富有成果的讨论是及时的，下面我们将讨论在对我们最初的辩论文章的答复中提出的一些观点。首先，Douglas et al.(1)提出的术语“情绪障碍认知增强疗法（CET- md）”受到Burdick et al.(2)和Rossell(3)的质疑，他们强调了CET在精神分裂症研究中的使用（正如Douglas et al.最初的文章中概述的那样），并怀疑术语的改变是否会给该领域带来任何真正的好处。我们理解CET一词并不完全是新的或原创的。然而，我们想强调这样一个事实，即当前对情绪障碍的认知干预通常使用基于力量的方法来增强个人的认知功能和认知信心，而不是从“补救”的角度专注于修复“缺陷”。我们采取了提出一个新名词的挑衅性步骤，以引起人们对这个问题的注意，并激发辩论。正如Burdick等人(2)所建议的那样，一个包含预防认知能力下降的术语可能是一个积极的步骤，这在情绪障碍和精神分裂症中可能更为明显。
We recently published a debate article on the topic of cognitive interventions for mood disorders (1), which has received interest from experts in the area, including many of our respected colleagues (2, 3). We appreciate, as Burdick et al.(2) point out, that novel and important research is being conducted worldwide to address the issue of persisting cognitive impairment in mood disorders. It is therefore timely to be having a fruitful discussion about issues in this area and below we address some of the points raised in the responses to our original debate article.First, the term ‘Cognitive Enhancement Therapy for Mood Disorders (CET-MD)’, which was proposed in Douglas et al.(1), has been questioned by both Burdick et al.(2) and Rossell (3), who highlighted the use of CET in schizophrenia research (as was outlined in the original Douglas et al. article), and doubted whether a change in terminology would result in any real benefit to this field. We appreciate that the term CET is not completely new or original. However, we wanted to emphasise the fact that current cognitive interventions for mood disorders typically use a strength-based approach to enhance individuals’ cognitive function and cognitive confidence, rather than focusing on fixing a ‘deficit’, as from a ‘remediation’perspective. We used the provocative step of suggesting a new term as a means of drawing attention to the issue, and to stimulate debate. As Burdick et al.(2) suggest, a term that encompasses the prevention of cognitive decline, which may be more evident in mood disorders versus schizophrenia, could be a positive step.